| Organization Name: | CURERX COMPOUNDING PHARMACY INC |
| NPI Number: | 1134537236 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP ETTEDGUI (PRESIDENT/PIC) |
| Mailing Address: | 18625 Sherman Way Suite 107 Reseda |
| State: | CA US |
| Postal Code: | 913354148 |
| Phone Number: | 8188812998 |
| Fax Number: | 8188812996 |
| NPI Enumeration Date: | 08/01/2014 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | PHY 53473 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |